Gray, Nicola S

Gray, Nicola S is an individual health care provider with primary practice located at 2501 N 3Rd St , Harrisburg PA 17110-1904. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Gray, Nicola S can be contacted via phone (717) 782-4734.

Contact Information

Primary practice address
2501 N 3Rd St Harrisburg PA 17110-1904
Phone: (717) 782-4734
Fax: (717) 782-4727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD420737 Pennsylvania
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD420737 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD420737 Pennsylvania

Profile Details

NPI number 1982677878
LBN Legal business name Gray, Nicola S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Apr 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982677878 NPPES
Pennsylvania MEDICAID 101303928

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